44D2022266 CLIA NUMBER - MONROE COUNTY DEPARTMENT OF EDUCATION COORDINATED SCHOOL HEALTH CLINIC

Laboratory Demographics

CLIA Number: 44D2022266

Facility Name: MONROE COUNTY DEPARTMENT OF EDUCATION COORDINATED SCHOOL HEALTH CLINIC

Facility Address:
121 OLD HIGH SCHOOL RD
TELLICO PLAINS, TN
ZIP 37385
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Facility Phone Number: 423 420-9678

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1902079817

Taxonomy: 251300000X - Local Education Agency (LEA)
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

CLIA Record

Field Name Field Value
CLIA Number 44D2022266
LAB Type School/Student Health Service
Facility Name MONROE COUNTY DEPARTMENT OF EDUCATION COORDINATED SCHOOL HEALTH CLINIC
Street 121 OLD HIGH SCHOOL RD
City TELLICO PLAINS
State TN
ZIP 37385
Phone 423 420-9678
CertificateType 4
CertificateEffectiveDate 3/30/2023
CertificateExpirationDate 3/29/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024